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Organization
MD ASADUZZAMAN, M.D., INC.
Active
Organization
MD ASADUZZAMAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MD ASADUZZAMAN II M.D. (DIRECT OWNER)
(818) 888-7815
Entity
Organization
Contact information
Practice address
23845 MCBEAN PKWY, VALENCIA, CA 91355-2001
(661) 253-8000
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A66840
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A66840
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WA66840D
MEDICARE PPIN
CA
01
—
WA66840E
MEDICARE PPIN
CA
Enumeration date
07/07/2006
Last updated
09/18/2007
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